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Exam (elaborations)

Comprehensive COMLEX Level 1 Alignment Practice Questions and Solutions

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Conquer your osteopathic medical licensing milestones with this brand-new 150 question and answer study bundle engineered for the 2026/2027 testing cycle [USER]. This definitive resource delivers actual exam questions matching the COMLEX-USA level preparation framework, complete with expert-vetted answers and rigorous clinical rationales. Secure an elite A+ grade and guarantee your course success by mastering complex osteopathic manipulative medicine (OMM), structural analysis, diagnostics, and patient care workflows

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1|Page


COMSAE 110 EXAM 2025/2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {150 Q & A} ALREADY GRADED A+ |
BRAND NEW!



A 54yo F presents w/ difficulty walking. ROS reveals flu-like s/s
2wks ago. Pt reports weakness began in feet days ago & now
involves her legs. PE reveals symmetric decreased strength in
both lower limbs & absent patellar & Achilles reflexes BL.
Sensation is intact. Nerve conduction studies reveal decreased
conduction velocity in the lower limbs. The most likely
pathogenesis is:


a. auto-immune-mediated demyelination
b. inherited deficiency of dystrophin
c. metabolic disease of the m
d. spinal cord compression from a tumor
e. viral infection of dorsal roots
a. auto-immune-mediated demyelination


-pt has GB

,2|Page




68 yo M brought into ED for eval of sudden-onset L side
numbness of the face & extremities. PMHx significant for HTN &
T2DM. These symptoms most likely represent a lacunar infarct of
the:


a. basis pontis
b. central midbrain
c. posterior limb of internal capsule
d. subthalamic nucleus
e. ventroposterior thalamus
e. ventroposterior thalamus




What heel lift should you start with in a patient w/ scoliosis?


a. 1/16 inch
b. 1/8 inch
c. 1/4 inch
d. 1/2 inch

,3|Page


a. 1/16 inch




A 36 yo F w/ 3mo hx of fatigue presents w/ multiple aches &
pains all over her body. She hasn't been sleeping well & doesn't
feel like doing anything. PE reveals multiple TPs on both sides of
the body & above & below the diaphragm. Plain film radiographs
reveal no abnormalities, & rheumatological blood tests are
negative. Most appropriate method of dx:


a. dx of exclusion
b. electromyography
c. MRI of brain
d. m biopsy
e. serum protein electrophoresis
a. dx of exclusion


-pt has fibromyalgia

, 4|Page


A 24yo F presents w/ 1mo hx of extreme fatigue, weakness & 8lb
weight loss. Vital signs reveal BP 100/50 mmHg & HR 115/min.
Lab studies reveal hyponatremia, hyperkalemia & elevated Cr.
Patient's fatigue & weakness is most likely due to:


a. adrenocortical insufficiency
b. anemia
c. DM
d. hypothyroidism
a. adrenocortical insufficiency




What is the maximum heel lift?
1/4 inch




Pt presents w/ exhalation dysfn of ribs 6-10. What muscles are
primarily used to correct this?

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